KELLY YEUNG (PA) – Physician Assistant, NPI 1528406055

KELLY YEUNG (PA) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for KELLY YEUNG (PA) is 1528406055

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KELLY YEUNG (PA)
NPI
1528406055
Phone
(312) 695-8146
Address
675 N SAINT CLAIR ST STE 20-150
Enumeration Date
6 June 2013
Last Update Date
19 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3462916950
Graduation Year
2013 (13 years ago)
PAC ID
9234448416
Group Practice PAC ID
8123410016
Professional Enrollment ID
I20221103002391
Address ID
TX773392758KI215XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:13State licenses:0Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for KELLY YEUNG (PA)

  • 675 N SAINT CLAIR ST STE 20-150

    CHICAGO, IL 606115979

    Phone: (312) 695-8146

    Type: Mailing

  • 8540 Broadway St Ste 112

    Pearland, TX 775847710

    Phone: (682) 683-2301

    Type: Location

  • 1401 St Joseph Pkwy

    Houston, TX 770028301

    Phone: (732) 261-6879

    Type: Location

  • 1746 OJEMAN SPRING LN

    HOUSTON, TX 770551972

    Phone: (682) 683-2301

    Type: Mailing

  • 1401 ST JOSEPH PKWY

    HOUSTON, TX 770028301

    Phone: (713) 757-1000

    Type: Mailing

  • 215 KINGWOOD EXECUTIVE DR STE 150

    KINGWOOD, TX 773392765

    Phone: (682) 683-2301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $185.

Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.

Last reported payment date: 2023-12-27 • Largest payer in this snapshot: Smith+Nephew, Inc. ($185).

Total Amount

$185

General + Research + Ownership

Payments

10

Total payment records

General Amount

$185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$185
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221103002391IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123410016View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
General SurgeryTX

Reviews

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Frequently asked questions

What is the registry number for KELLY YEUNG (PA)?
The registry entry for KELLY YEUNG (PA) shows NPI 1528406055.
Should I treat KELLY YEUNG (PA) as an active provider?
Patients and plans typically see KELLY YEUNG (PA) as active in the national extract.
What type of care does KELLY YEUNG (PA) provide?
KELLY YEUNG (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KELLY YEUNG (PA)?
KELLY YEUNG (PA) is associated with Chicago, Illinois in the same public data insurers reference.
Why is information missing for KELLY YEUNG (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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